401k Plan data: GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN plan

GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN 401k Plan overview

Plan Name	GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN
Plan identification number	002

GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).

401k Sponsoring company profile

GULF COAST DERMATOLOGY, P.A. has sponsored the creation of one or more 401k plans.

Company Name: GULF COAST DERMATOLOGY, P.A.

Employer identification number (EIN): 204857035

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01
002 2012-01-01 JON WARD MD 2013-07-29 JON WARD MD 2013-07-29
002 2011-01-01 JON WARD MD JON WARD MD 2012-07-25
002 2010-01-01 JON WARD MD JON WARD MD 2011-10-03

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2013-01-01
002	2012-01-01	JON WARD MD	2013-07-29	JON WARD MD	2013-07-29
002	2011-01-01	JON WARD MD		JON WARD MD	2012-07-25
002	2010-01-01	JON WARD MD		JON WARD MD	2011-10-03

Plan Statistics for GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN

401k plan membership statisitcs for GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN

Measure Date Value
2011: GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 31
Total of all active and inactive participants 2011-01-01 31
Total participants 2011-01-01 31
2010: GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 22
Total of all active and inactive participants 2010-01-01 22
Total participants 2010-01-01 22

Measure	Date	Value
2011: GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	31
Total of all active and inactive participants	2011-01-01	31
Total participants	2011-01-01	31
2010: GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	22
Total of all active and inactive participants	2010-01-01	22
Total participants	2010-01-01	22

Financial Data on GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN

Measure	Date	Value
2011 : GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$141,925
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$276,674
Total plan assets at beginning of year	2011-12-31	$134,749
Value of fidelity bond covering the plan	2011-12-31	$25,000
Other income received	2011-12-31	$-783
Net income (gross income less expenses)	2011-12-31	$141,925
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$276,674
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$134,749
Total contributions received or receivable from employer(s)	2011-12-31	$142,708
2010 : GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$134,749
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$134,749
Total plan assets at beginning of year	2010-12-31	$0
Value of fidelity bond covering the plan	2010-12-31	$25,000
Net income (gross income less expenses)	2010-12-31	$134,749
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$134,749
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$134,749

Form 5500 Responses for GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN

2011: GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: GULF COAST DERMATOLOGY, P.A. CASH BALANCE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	First time form 5500 has been submitted	Yes
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GULF COAST DERMATOLOGY, P.A.
Employer identification number (EIN):	204857035
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)